| NPI | 1396718433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY MD081871) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 081871) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-07-13 |